METHODS: A descriptive survey of interns and supervisors, as phase-two of an exploratory sequential mixed methods study. Questionnaires were developed from a descriptive exploratory qualitative study. Data were analysed with the Statistical Package for Social Sciences.
RESULTS: Questionnaires were completed by 72 interns (response rate 21%) and 36 supervisors (response rate 90%), across 10 training programmes. Interns felt more independent (97.2%), confident (90.3%) and resilient (91.6%). They learnt to manage undifferentiated and chronic conditions (91.6%), to refer patients (94.3%) and conduct procedures (77.8%). Most interns were not exposed to community-based services (68.0%) and continuity of care (54.1%). Supervision was mostly adequate during the day (79.1%) and afterhours (80.6%). Many interns reported no structured teaching programme (41.7% - 55.6%). Most supervision was from medical officers and registrars. Supervisors saw interns as valuable members of the clinical team (100.0%), who required extra support and administration (42.5%). The majority of interns (75.0%) and supervisors (72.7%) thought the rotation was the right length and the best preparation for community service (67.6%).
CONCLUSIONS: The rotation met most expectations of the Health Professions Council of South Africa. Programmes need to improve exposure to community-orientated primary care, public health medicine, palliative and ongoing care. Supervision and orientation of interns needs improvement.Contribution: This is the first evaluation of the new family medicine internship programme in South Africa.
方法:对实习生和主管的描述性调查,作为探索性序贯混合方法研究的第二阶段。问卷是从描述性探索性定性研究中得出的。使用社会科学统计软件包对数据进行了分析。
结果:问卷调查由72名实习生(回复率21%)和36名主管(回复率90%)完成,10个培训项目。实习生感到更加独立(97.2%),自信(90.3%)和弹性(91.6%)。他们学会了管理未分化和慢性疾病(91.6%),转诊患者(94.3%)和进行手术(77.8%)。大多数实习生没有接受社区服务(68.0%)和连续性护理(54.1%)。白天(79.1%)和下班后(80.6%)的监督大多足够。许多实习生报告没有结构化的教学计划(41.7%-55.6%)。大多数监督来自医务人员和注册人员。主管将实习生视为临床团队的宝贵成员(100.0%),他们需要额外的支持和管理(42.5%)。大多数实习生(75.0%)和主管(72.7%)认为轮换是正确的时间,也是社区服务的最佳准备(67.6%)。
结论:轮换符合南非卫生职业委员会的大多数期望。方案需要改善对面向社区的初级保健的接触,公共卫生医学,姑息治疗和持续治疗。实习生的监督和定位需要改进。供稿:这是对南非新的家庭医学实习方案的首次评价。